Creswick Nerida, Hains Isla M, Westbrook Johanna I
Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales.
Stud Health Technol Inform. 2011;169:402-6.
Doctors are the main users of x-rays and other medical images in hospitals and as such picture archive and communication systems (PACS) have been designed to improve their work processes and clinical care by providing them with faster access to images. Nurses working in intensive care units (ICUs) also access images as an integral part of their work, yet no studies have examined the impact of PACS on the work of intensive care nurses. Our study aimed to examine whether and how ICU nurses view and use images and whether access to PACS promotes innovation in work practices. We interviewed (n=49) and observed (n=23) nurses in three Australian metropolitan teaching hospital ICUs with varying degrees of PACS implementation. Our study found that nurses with access to PACS were able to independently and easily access images, did so more frequently when required, and perceived that this had the potential to positively impact upon patient safety. Those without PACS usually viewed images more traditionally as part of a ward round. The introduction of PACS to ICU settings promotes changes in nursing work practices by providing nurses with the ability to act more autonomously, with the potential to enhance patient care.
医生是医院中X光和其他医学影像的主要使用者，因此图像存档与通信系统（PACS）的设计目的是通过让医生更快地获取影像来改善他们的工作流程和临床护理。在重症监护病房（ICU）工作的护士在工作中也会查看影像，这是其工作不可或缺的一部分，但尚无研究探讨PACS对重症监护护士工作的影响。我们的研究旨在调查ICU护士如何看待和使用影像，以及使用PACS是否能促进工作实践的创新。我们对澳大利亚三家实施了不同程度PACS的大都市教学医院ICU的护士进行了访谈（n = 49）和观察（n = 23）。我们的研究发现，能够使用PACS的护士能够独立且轻松地获取影像，在需要时更频繁地查看影像，并认为这有可能对患者安全产生积极影响。那些没有PACS的护士通常将查看影像作为查房的一部分，采用更传统的方式。在ICU环境中引入PACS，通过让护士能够更自主地开展工作，促进了护理工作实践的改变，有可能提高患者护理质量。
